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Delivering Health Care In America / Edition 5

Delivering Health Care In America / Edition 5

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by Leiyu Shi, Douglas A. Singh

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ISBN-10: 1449626505

ISBN-13: 9781449626501

Pub. Date: 08/19/2011

Publisher: Jones & Bartlett Learning

Given The Recent And Rapid Developments In The Delivery Of Health Care In The United States, Never Has It Been More Important To Have The Most Up-To-Date Resources For Teaching Students About This Complex And Dynamic Industry. Now In Its Fifth Edition, Delivering Health Care In America Offers The Most Current And Comprehensive Overview Of The Basic Structures And


Given The Recent And Rapid Developments In The Delivery Of Health Care In The United States, Never Has It Been More Important To Have The Most Up-To-Date Resources For Teaching Students About This Complex And Dynamic Industry. Now In Its Fifth Edition, Delivering Health Care In America Offers The Most Current And Comprehensive Overview Of The Basic Structures And Operations Of The U.S. Health System—From Its Historical Origins And Resources, To Its Individual Services, Cost, And Quality. Using A Unique “Systems” Approach, This Bestselling Text Brings Together An Extraordinary Breadth Of Information Into A Highly Accessible, Easy-To-Read Resource That Clarifies The Complexities Of Health Care Organization And Finance, While Presenting A Solid Overview Of How The Various Components Fit Together.

New To This Edition:

New Material On U.S. Health Reform New Material On Health Reform In Other Countries New Material On Healthy People 2020
New Information On CMS’S Innovative Healthcare Delivery New Information On Community Health Centers Introduction Of The Medical Home Concept Data Update Throughout The Book Latest Research Findings As Applicable Enhanced Content On The Patient Protection And Affordability Act Of 2010
Enhanced Content On Clinical Guidelines Enhanced Content On Public Health System And Services Enhanced Content On Vulnerable Populations Enhanced Content On Primary Care From The Global Perspective Revised Perspectives On The Future Of Health Care In America Instructor Resources: Transition Guide, Instructor's Manual, Powerpoint Presentations, Testbank

Student Resources: Glossary, Flash Cards, Crosswords, Matching Questions, Web Links

Product Details

Jones & Bartlett Learning
Publication date:
Product dimensions:
7.00(w) x 9.90(h) x 1.30(d)

Table of Contents

Preface ix

List of Exhibits xv

List of Figures xv

List of Tables xxi

List of Abbreviations/Acronyms xxiii

Topical Reference Guide to the Affordable Care Act (ACA) xxix

Chapter 1 An Overview of US Health Care Delivery 1

Introduction 2

An Overview of the Scope and Size of the System 2

A Broad Description of the System 4

Basic Components of a Health Services Delivery System 5

Insurance and Health Care Reform 7

Role of Managed Care 8

Major Characteristics of the US Health Care System 9

Trends and Directions 17

Significance for Health Care Practitioners 17

Significance for Health Care Managers 18

Health Care Systems of Other Countries 20

Global Health Challenges and Reform 28

The Systems Framework 28

Summary 30

Test Your Understanding 31

Review Questions 32

Part I Systems Foundations 37

Chapter 2 Beliefs, Values, and Health 39

Introduction 40

Significance for Managers and Policymakers 40

Basic Concepts of Health 41

Quality of Life 43

Risk Factors and Disease 43

Health Promotion and Disease Prevention 46

Disease Prevention Under Health Care Reform 47

Public Health 48

Health Protection and Preparedness in the United States 50

Determinants of Health 52

Measures Related to Health 55

Anthro-Cultural Beliefs and Values 62

Integration of Individual and Population Health 68

Summary 73

Test Your Understanding 74

Review Questions 74

Chapter 3 The Evolution of Health Services in the United States 81

Introduction 82

Medical Services in the Preindustrial Era S3

Medical Services in the Postindustrial Era 88

Medical Care in the Corporate Era 107

Era of Health Care Reform 110

Summary 114

Test Your Understanding 115

Review Questions 115

Part II System Resources 121

Chapter 4 Health Services Professionals 123

Introduction 124

Physicians 125

Issues in Medical Practice, Training, and Supply Medical Practice 131

International Medical Graduates 135

Dentists 136

Pharmacists 137

Other Doctoral-Level Health Professionals 138

Nurses 139

Nonphysician Practitioners 141

Allied Health Professionals 142

Health Services Administrators 146

Global Health Workforce Challenges 147

Summary 148

Test Your Understanding 149

Review Questions 149

Appendix 4 A List of Professional Associations 155

Chapter 5 Medical Technology 157

Introduction 158

What Is Medical Technology? 159

Information Technology and Informatics 159

The Internet, E-Health, M-Health, and E-Therapy 163

Innovation, Diffusion, and Utilization of Medical Technology 166

The Government's Role in Technology Diffusion 170

The Impact of Medical Technology 176

The Assessment of Medical Technology 180

Directions and Issues in Health Technology Assessment 184

Summary 186

Test Your Understanding 187

Review Questions 187

Chapter 6 Health Services Financing 195

Introduction 196

The Role and Scope of Health Services Financing 197

Financing and Cost Control 198

The Insurance Function 199

Private Health Insurance 200

Private Health Insurance Under the Affordable Care Act 207

Public Health Insurance 214

The Payment Function 226

National Health Care Expenditures 233

Current Directions and Issues 237

Summary 239

Test Your Understanding 241

Review Questions 241

Part III System Processes 247

Chapter 7 Outpatient and Primary Care Services 249

Introduction 250

What Is Outpatient Care? 250

The Scope of Outpatient Services 251

Primary Care 251

Primary Care and the Affordable Care Act 256

New Directions in Primary Care 256

Primary Care Providers 258

Growth in Outpatient Services 258

Types of Outpatient Care Settings and Methods of Delivery 260

Complementary and Alternative Medicine 276

Utilization of Outpatient Services 279

Primary Care in Other Countries 279

Summary 283

Test Your Understanding 284

Review Questions 285

Chapter 8 Inpatient Facilities and Services 291

Introduction 292

Hospital Transformation in the United States 292

The Expansion Phase: Late 1800s to Mid-1980s 296

The Downsizing Phase: Mid-1980s Onward 297

Some Key Utilization Measures and Operational Concepts 300

Hospital Utilization and Employment 304

Hospital Costs 305

Types of Hospitals 306

Expectations from Nonprofit Hospitals 317

Some Management Concepts 319

Licensure, Certification, and Accreditation 322

The Magnet Recognition Program® 323

Ethical and Legal Issues in Patient Care 323

Summary 325

Test Your Understanding 327

Review Questions 327

Chapter 9 Managed Care and Integrated Organizations 335

Introduction 336

What Is Managed Care? 337

Evolution of Managed Care 339

Growth of Managed Care 341

Efficiencies and Inefficiencies in Managed Care 344

Cost Control Methods in Managed Care 344

Types of Managed Care Organizations 349

Trends in Managed Care 354

Impact on Cost, Access, and Quality 357

Managed Care Backlash, Regulation, and the Aftermath 359

Organizational Integration 361

Basic Forms of Integration 364

Highly Integrated Health Care Systems 366

Summary 368

Test Your Understanding 369

Review Questions 370

Chapter 10 Long-Term Care 377

Introduction 378

The Nature of Long-Term Care 381

Long-Term Care Services 384

The Clients of Long-Term Care 389

Level of Care Continuum 391

Home- and Community-Based Services (HCBS) 392

The Affordable Care Act and Community-Based LTC 398

Institutional Long-Term Care Continuum 399

Specialized Care Facilities 403

Continuing Care Retirement Communities (CCRCs) 404

Institutional Trends, Utilization, and Costs 404

Private Long-Term Care Insurance 407

Summary 408

Test Your Understanding 409

Review Questions 409

Chapter 11 Health Services for Special Populations 415

Introduction 416

Framework to Study Vulnerable Populations 416

Racial/Ethnic Minorities 417

The Uninsured 429

Children 429

Women 432

Rural Health 435

Migrant Workers 437

The Homeless 438

Mental Health 441

The Chronically Ill 444


Summary 452

Test Your Understanding. 452

Review Questions 452

Part IV System Outcomes 461

Chapter 12 Cost, Access, and Quality 463

Introduction 464

Cost of Health Care 464

Reasons for Cost Escalation 471

Cost Containment-Regulatory Approaches 477

Cost Containment-Competitive Approaches 482

The Affordable Care Act and Cost Containment 483

Access to Care 484

The Affordable Care Act and Access to Care 490

Quality of Care 490

Dimensions of Quality 492

Quality Assessment and Assurance 494

Public Reporting of Quality 498

The Affordable Care Act and Quality of Care 500

Summary 500

Test Your Understanding 502

Review Questions 502

Chapter 13 Health Policy 509

Introduction 510

What Is Health Policy? 510

Principal Features of US Health Policy 513

The Development of Legislative Health Policy 521

The Policy Cycle 522

Policy Implementation 524

Critical Policy Issues 525

Summary 530

Test Your Understanding 531

Review Questions 532

Part V System Outlook 535

Chapter 14 The Future of Health Services Delivery 537

Introduction 538

Forces of Future Change 538

The Future of Health Care Reform 545

The Future of Long-Term Care 555

Global Threats and International Cooperation 557

New Frontiers in Clinical Technology 558

The Future of Evidence-Based Health Care 561

Summary 563

Test Your Understanding 564

Review Questions 564

Glossary 571

Index 595

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Delivering Health Care In America 5 out of 5 based on 0 ratings. 1 reviews.
LabTechReader More than 1 year ago
As the synopsis view states: “In a clear, cohesive format, Delivering Health Care in America provides a comprehensive overview of the basic structures and operations of the US health system—from its historical origins and resources, to its individual services, cost, and quality.” There’s really no better way to describe it. I used this book as a primer in my masters course for healthcare administration. It’s thorough, well-written, understandable, and answers your questions regarding the healthcare system in the U.S., as well as touching upon the health care in other countries. I highly recommend it!